Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1871636555 Individual Practitioner Male Practitioner

Dr. Marvin J Gottschall , DDS

Dentist - General Practice • Cusick, WA

Professional Overview & Biography Verified Profile Summary

Dr. Marvin Gottschall, DDS is a registered healthcare professional specializing in Dentist - General Practice in Cusick, WA. Practice services are available at 1821 N LECLERC RD. #1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1821 N Leclerc Rd. #1

Cusick, WA 991195015

Telephone 5094477111
Fax 5094451152
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Cusick, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
1 Specialists

Practicing in Cusick, WA (3345 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE00009801

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
5051537 (WA)
Commercial Insurance / Payer ID Labor & Industries Id #
0213060 (WA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
NPI 1003132721

Doctor of Naturopathic Medicine

Dr. Jaime Hopoi , DPT

Physical Therapist

NPI 1083384119

Doctor of Physical Therapy

Olivia Low , LPN

Licensed Practical Nurse

NPI 1124883145

Licensed Practical Nurse

NPI 1285048470
Anita Waterman , LICSWA

Social Worker - Clinical

NPI 1487212239
Jennifer Tackitt , APRN

Nurse Practitioner - Family

NPI 1730667833

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 03, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location June 03, 2011

Registered at 1821 N LECLERC RD. #1, CUSICK, WA 991195015 (Tel: 5094477111)

📍
Updated Business Mailing Address June 03, 2011

Registered at 1821 N LECLERC RD. #1, CUSICK, WA 991195015 (Tel: 5094477111)

👤
Provider Name / Credentials Updated June 03, 2011

Recorded as MARVIN GOTTSCHALL, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2011

Dentist (License #DE00009801 in WA)

🟢
Initial NPI Registration & Enumeration February 14, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871636555
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 14, 2007
Last Update: June 03, 2011
Sole Proprietor: No

Mailing Address

1821 N Leclerc Rd. #1

Cusick, WA 991195015

Phone: 5094477111

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.